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NHS England policy for trans people could have ‘a number of adverse impacts’, report finds

Exclusive: rules on same-sex wards could lead to delays in care, discrimination and animosity between groups, finds internal assessment

Trans people could face delays and a greater risk of “corridor care” under new NHS England guidance that means they will no longer be able to use same-sex wards, according to an internal report.

An NHS England impact assessment, seen by the Guardian, stated that trans people may also potentially experience discrimination and this could lead to them “avoiding accessing healthcare at all”.

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© Photograph: Peter Byrne/PA

© Photograph: Peter Byrne/PA

© Photograph: Peter Byrne/PA

NHS staff who wrongly accessed tiger victim’s records should be sacked, says Yvette Cooper

Health secretary says inappropriately looking up details about William Chapman, who died at Yorkshire Wildlife Park, is ‘total disgrace’

NHS staff who inappropriately accessed the medical records of a man mauled to death by a tiger should be sacked, Yvette Cooper said.

The health secretary said the incident – which followed reports earlier this year that staff had unnecessarily viewed details about the Southport attack victims and those murdered by Valdo Calocane in Nottingham in 2023 – was a “total disgrace”.

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© Photograph: South Yorkshire Police/PA

© Photograph: South Yorkshire Police/PA

© Photograph: South Yorkshire Police/PA

Yvette Cooper pledges £140m to boost urgent care as NHS faces ‘tough’ winter

17 October 2026 at 19:00

Health secretary says government has been preparing early and will spend money on ambulances and A&E upgrades

The NHS faces a more challenging winter than normal, the health secretary has warned, as she announced a £140m increase for urgent care in England.

Yvette Cooper said the money would help increase capacity, and that the NHS has been preparing since July to deal with the impact of seasonal illnesses.

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© Photograph: David Levene/The Guardian

© Photograph: David Levene/The Guardian

© Photograph: David Levene/The Guardian

Palantir patient data tech rejected by many NHS trusts in England

17 October 2026 at 02:00

Exclusive: health bodies across country say controversial US firm’s data platform no better than systems already in use

NHS organisations that care for millions of people in England are rejecting Palantir’s patient data technology, according to freedom of information responses that reveal health bosses believe they can find better or equal alternatives in many cases.

Some health bodies said the £330m federated data platform (FDP) operated by the controversial US company had made it easier to manage waiting lists and has improved surgery scheduling. But, from Gateshead to Truro, others said they were declining to use it or had carried out trials and reverted to old systems. A Suffolk trust said other systems “supercede” the FDP’s functionality, while Greater Manchester’s care board called the Palantir system “duplicative” and “retrograde”.

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© Photograph: Henry Nicholls/AFP/Getty Images

© Photograph: Henry Nicholls/AFP/Getty Images

© Photograph: Henry Nicholls/AFP/Getty Images

The Letby case inquiry will lead to more blame and suspicion in the NHS – and patients will be less safe | Mark McDonald

17 October 2026 at 01:00

I fear for what comes next because medics must be able to ask questions, raise concerns and admit mistakes. A defensive staff is dangerous for everyone

  • Mark McDonald is a barrister representing Lucy Letby

I have been Lucy Letby’s barrister for the past two years. I have spent thousands of hours going through the evidence, speaking to experts and examining what happened to the babies who died or became seriously unwell on the neonatal unit at the Countess of Chester hospital. I have worked with nearly 30 experts, including internationally recognised specialists in neonatology, pathology, insulin, statistics and other fields. It may be to some an inconvenient truth, but I am convinced that Letby is innocent, and her convictions represent one of the most serious miscarriages of justice in modern British legal history. That means she was failed by the police, the NHS, the criminal justice system and, importantly, a plethora of experts who simply got it wrong.

My work on the case has also raised wider concerns about the evidence and conclusions surrounding the deaths on the neonatal unit, and what the lessons being drawn from this case will mean for doctors and nurses in neonatal medicine.

Mark McDonald is a criminal defence and human rights barrister specialising in miscarriages of justice

Do you have an opinion on the issues raised in this article? If you would like to submit a response of up to 300 words by email to be considered for publication in our letters section, please click here.

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© Photograph: Jeff Moore/PA

© Photograph: Jeff Moore/PA

© Photograph: Jeff Moore/PA

‘I get really upset when I visit’: the harsh reality of life in a high-security hospital in England

11 October 2026 at 00:00

When the Southport killer Axel Rudakubana was transferred from a category A prison to Broadmoor hospital, many observers complained that he was getting off lightly. But these places are anything but ‘cushy’, says the mother of one patient

Rampton high-security hospital in Nottinghamshire was built in 1912. Everything about the bleak, remote facility for mentally ill people is forbidding, says Jan Neate. “I get really upset going there,” she says. “Even though I really want to see Jake, visiting is an ordeal.”

Jake, 45, is Neate’s son. He has been held at Rampton for eight years. In 2017, many years after being diagnosed with paranoid schizophrenia, he killed his partner, Suzanne Brown, and was deemed mentally unfit to stand trial.

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© Photograph: Richard Mildenhall/Alamy

© Photograph: Richard Mildenhall/Alamy

© Photograph: Richard Mildenhall/Alamy

Clinical Trial Indicates A.I. Chatbots Could Aid Urgent Care

8 October 2026 at 18:48
Nearly 100 patients discussed their maladies with a Google bot, called AMIE, before meeting with physicians.

© Kaoly Gutierrez for The New York Times

After scheduling a visit with the hospital’s urgent care facility, the patients discussed their ailments with a Google chatbot before meeting with their doctors.
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